A client who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have been taken too much warfarin. The nurse anticipates that client will receive which antidote?
Potassium chloride
Vitamin E
Protamine sulfate
Vitamin K
The Correct Answer is D
A. Potassium chloride is used to treat hypokalemia, not as a warfarin antidote.
B. Vitamin E does not counteract warfarin’s effects and may increase bleeding risk.
C. Protamine sulfate is the antidote for heparin, not warfarin.
D. Vitamin K is the appropriate antidote for excessive warfarin, as it promotes the synthesis of clotting factors inhibited by warfarin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A blood pressure of 90/50 mm Hg is concerning, but it is less urgent than severe respiratory depression. The nurse should still assess this client promptly.
B. A temperature of 96° F (35.6° C) is mildly low and should be addressed, but it is not as critical as a severely low respiratory rate.
C. A pulse of 118 beats/min is elevated and may require monitoring, but it does not pose as immediate a threat as respiratory depression.
D. A respiratory rate of 6 breaths/min is critically low, which may indicate respiratory depression, particularly after anesthesia. Immediate assessment and intervention are needed to ensure adequate oxygenation and ventilation.
Correct Answer is C
Explanation
A. Using a feminine pad at night instead of a tampon can reduce the risk of TSS, which is correct.
B. Not using tampons reduces the risk of TSS. This statement is correct.
C. Tampons should be changed every 4 to 8 hours, not 10 hours, to reduce the risk of TSS. This statement indicates a lack of understanding.
D. Hand hygiene before inserting a tampon is critical for preventing TSS. This statement is correct.
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